| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L0650 |
Lso sc r ant/pos pnl pre ots |
1,141 |
1,025 |
$783K |
| L4361 |
Pneuma/vac walk boot pre ots |
1,154 |
1,079 |
$203K |
| E0601 |
Cont airway pressure device |
7,360 |
2,761 |
$113K |
| L1833 |
Ko adj jnt pos r sup pre ots |
156 |
138 |
$61K |
| L3670 |
So acro/clav can web pre ots |
878 |
832 |
$54K |
| E1390 |
Oxygen concentrator |
1,914 |
1,645 |
$47K |
| L3908 |
Who cock-up nonmolde pre ots |
1,368 |
1,087 |
$43K |
| L1820 |
Ko elas w/ condyle pads & jo |
379 |
324 |
$30K |
| E0114 |
Crutch underarm pair no wood |
253 |
231 |
$11K |
| E0431 |
Portable gaseous 02 |
1,220 |
1,191 |
$8K |
| E0570 |
Nebulizer with compression |
456 |
450 |
$5K |
| L3982 |
Upper ext fx orthosis rad/ul |
14 |
14 |
$4K |
| E0143 |
Walker folding wheeled w/o s |
61 |
59 |
$3K |
| E0935 |
Cont pas motion exercise dev |
16 |
12 |
$2K |
| K0001 |
Standard wheelchair |
189 |
178 |
$1K |
| A7031 |
Replacement facemask interfa |
139 |
132 |
$1K |
| A7030 |
Cpap full face mask |
29 |
28 |
$1K |
| L2820 |
Soft interface below knee se |
13 |
12 |
$849.81 |
| A7035 |
Pos airway press headgear |
175 |
162 |
$678.27 |
| A7037 |
Pos airway pressure tubing |
92 |
89 |
$380.73 |
| A7038 |
Pos airway pressure filter |
287 |
274 |
$272.61 |